Individual
BETHANY GRAVERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LPC, SCL
Contact information
Practice address
2050 BRETON RD SE STE 104, GRAND RAPIDS, MI 49546-5547
(616) 202-6521
Mailing address
2050 BRETON RD SE STE 104, GRAND RAPIDS, MI 49546-5547
(815) 590-0661
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401222654
MI
Other
Enumeration date
06/16/2022
Last updated
04/04/2025
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